DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20174699

A prospective study of treatment of distal femur fractures with locking condylar plate

Y. Bhanu Rekha, N. Brahmananda Reddy

Abstract


Background: Multiple implants are available to treat distal femoral fractures. The recent addition is the locking plate contoured to the distal femur with combiholes in the proximal portion. Though it is established that locking plates offer higher stability than the previous implants like dynamic compression screw or condylar buttress plate, some studies showed higher incidence of delayed union. We evaluated 30 type A and type C distal femoral fractures treated with locking condylar plate in our institutes.

Methods: We conducted a prospective study on 30 consecutive patients with fractures of distal femur operated with locking condylar plate from December, 2015 to February, 2017. Patients were regularly followed up with x-rays and clinical examination. At the end of one year follow-up, patients were evaluated with Pritchett score.

Results: Fracture union was seen in all patients. Union was faster in type A fractures than in type C intra articular fractures. 67% of patients achieved excellent to good grading according to Pritchett rating system.

Conclusions: Locking condylar plate is effective in treating distal femoral fractures with minimal complications.


Keywords


Distal femur locking plate, Distal femur fractures, Intra articular fractures

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References


Brown CMC, Heckman JD, McQueen MM, Ricci WM, Tornetta P III. Rockwood and Green’s Fractures in Adults. 8th edition, Vol 2, Wolters Kluwer Health, Philadelphia; 2015: 2229.

Gururaj NG, Vinaya G, Ahmad SR. Dynamic Condylar Screw And Locking Plate Fixation In The Treatment Of Distal Femoral Fractures- An Interventional Study. Indian J Sci Res. 2016;7(1):165-9.

Greiwe RM, Archdeacon MT. Locking plate technology: current concepts. J Knee Surg. 2007;20(1):50-5.

Davis C, Stall A, Knutsen E, Whitney A, Becker E, Hsieh AH, OʼToole RV. Locking plates in osteoporosis: a biomechanical cadaveric study of diaphyseal humerus fractures. J Orthop Trauma. 2012;26(4):216-21.

Cornell CN, Ayalon O. Evidence for Success with Locking Plates for Fragility Fractures. HSS J. 2011;7(2):164–9.

Hoffmann MF, Jones CB, Sietsema DL, Tornetta P, Koenig SJ. Clinical outcomes of locked plating of distal femoral fractures in a retrospective cohort. J Orthop Surg Res. 2013;8:43.

Virk JS, Garg SK, Gupta P, Jangira V, Singh J, Rana S. Distal Femur Locking Plate: The Answer to All Distal Femoral Fractures. J Clin Diagn Res. 2016;10(10):RC01–5.

Kiran KGN, Sharma G, Farooque K, Sharma V, Ratan R, Yadav S, et al. Locking Compression Plate in Distal Femoral Intra-Articular Fractures: Our Experience. Int Scholarly Res Notices. 2014; 372916:5.

Vishwanath C, Harish K, Gunnaiah KG, Chetan Kumar. Surgical outcome of distal femur fracture by locking compression plate. Int J Orthopaedics Sci. 2016;2(4):233-9.

Shriharsha RV, Sapna M. Utility and outcomes of locking compression plates in distal femoral fractures. Int J Res Orthop. 2015;1(1):15-21.

Menon RR, Subramanian V. Functional outcome of distal femoral fractures treated by minimally invasive surgery using locking condylar plate. Kerala J Orthopaedics. 2014;27(1):22-8.

Rajaiah D, Ramana Y, Srinivas K, Reddy SV. A study of surgical management of distal femoral fractures by distal femoral locking compression plate osteosynthesis. J Evid Based Med Healthc. 2016;3(66):3584-7.

Reddy JAV, Chary NB. Functional Outcome of Distal End of Femur with Locking Compression Plate: A Prospective Study. Ann Int Med Den Res. 2016;2(1):362-5.